ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Withholding the next dose and consulting the provider is necessary, as vomiting may indicate digoxin toxicity.
Question 2 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: C
Rationale: Frequent swallowing after a tonsillectomy can indicate bleeding, a serious complication requiring immediate attention.
Question 3 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A quick-release knot is essential for safety, allowing restraints to be easily undone in an emergency.
Question 4 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Impetigo is highly contagious, and contact isolation precautions are necessary to prevent its spread to other patients and healthcare providers.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10. Client is tearful and grimacing during the examination. Laboratory Results: Hct 28% (32% to 44%), Hgb 6 g/dL (10 to 15.5 g/dL), WBC count 20,000/mm3 (6,200 to 17,000/mm3), ALT 50 units/L (4 to 36 units/L), AST 62 units/L (10 to 40 units/L), Total bilirubin 3.0 mg/dL (0.3 to 1.0 mg/dL).
Question 5 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,C,D,E,G
Rationale: A: Continuous monitoring of oxygen saturation is crucial in a vaso-occlusive crisis to detect any signs of hypoxia early. C: Hydroxyurea is used to reduce the frequency of painful crises in patients with sickle cell disease. D: Meperidine is an opioid analgesic commonly used to manage severe pain associated with sickle cell crises. E: Vaccination is important in preventing infections, which can trigger or worsen a vaso-occlusive crisis. G: Folic acid supplementation is recommended to support red blood cell production and prevent folate deficiency.